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2016 Physician Quality Reporting System Qualified Clinical Data RegistriesCMS is pleased to announce the Qualified Clinical Data Registries (QCDRs) that will be able to report quality measure data to CMS, on behalf of eligible professionals (EPs) for the 2016 Physician QualityReporting System (PQRS) program year (PY). These entities have self-nominated and indicated that they meet the requirements as outlined by CMS in the 2016 Medicare Physician Fee Schedule (MPFS) finalrule. The 2016 QCDRs are able to report quality measure data to CMS, on behalf of individual EPs, Group Practice Reporting Organization (GPRO) group practices, or both for the PY 2016 PQRS (please checkyour specific QCDR to ensure they support your reporting method). In addition to PQRS, the data submitted by QCDRs may also be used for other CMS Initiatives like the Value-based Payment Modifier,Physician Compare, and the EHR Incentive Program. If the EP is attempting to receive credit for the Clinical Quality Measure (CQM) component of meaningful use for the EHR Incentive Program the QCDRmust be considered Certified Electronic Health Record Technology (CEHRT) and the measure data must come from the EP's CEHRT. For more information on reporting via QCDR, please review the QualifiedClinical Data Registry Reporting page of the PQRS website.Individual EPs and PQRS group practices wishing to participate in a QCDR for PY 2016 should review the qualified entities listed in the table below. Each of the 2016 QCDRs have provided detailedinformation including their contact information, the measures they support, the services they offer and the costs incurred by their clients.Disclaimer: Each vendor has reviewed their organization’s information below and provided confirmation of accuracy. Information included in this document was accurate at the time posting; however CMScannot guarantee that these services will be available or that the vendor will be successful uploading their files during the submission period. CMS cannot guarantee an eligible professionals success inproviding data for the program. Successful submission is contingent upon following the PQRS program requirements, the timeliness, quality, and accuracy of the eligible professionals data provided forreporting, and the timeliness, quality, and accuracy of the XML programming of the vendor.Version1.206/10/2016Page 1 of 61
Reporting OptionsParticipatedSupportedQualified Clinical DataContact as a QCDR in Individual EP and/orRegistry NameInformation Previous PY GPRO Group PracticeEHR IncentiveProgramSupported iPublic ReportingLocation iiPQRS Measures Supported(Individual Measures iii, Measures Group Only Measures iv,Electronic Clinical Quality Measures [eCQMs] v)Non-PQRS Measures SupportedNon-PQRS MeasuresInformationServices Offered & CostThis QCDR collects medical and/orclinical data for the purpose of patientand disease tracking to fosterimprovement in the quality of careprovided to patients.Services: The AAAAI Allergy, Asthma &Immunology Quality Clinical DataRegistry in collaboration with CECity isintended to foster performanceimprovement.Who should enroll? Physicians inAllergy/Immunology; AAAAI members& nonmembers.Where to enroll? Learn more athttp://www.medconcert.com/AAAAIQIR NQS Domain 1 Communication and Care Coordination: 374NQS Domain 2 Community/Population Health: 110, 111, 128,226, 240, 317, 402NQS Domain 3 Effective Clinical Care: 053, 311, 398555 E. WellsAAAAI AmericanStreet, SuiteAcademy of Allergy,1100,Asthma, andMilwaukee,Immunology Quality WI, 53222Clinical Data Registry in 414-918-3029Collaboration withhttp://www.aCECityaaai.orgYesVersion1.2NQS Domain 4 Efficiency and Cost Reduction: 065, 066, 331, 332,333, 334NQS Domain 5 Patient Safety: 130, 238Individual EPs, GPROGroup PracticeNoPhysicianCompareeCQM's: 065, CMS154v4, 066, CMS146v4, 110, CMS147v5, 111,CMS127v4, 128, CMS69v4, 130, CMS68v5, 226, CMS138v4, 238,CMS156v4, 240, CMS117v4, 311, CMS126v4, 317, CMS22v4, 374,CMS50v406/10/2016 Asthma: Assessment of Asthma Control Ambulatory Care SettingAllergen Immunotherapy Treatment:Allergen Specific Immunoglobulin E (IgE)Sensitivity Assessed and DocumentedPrior to TreatmentDocumentation of Clinical Response toAllergen Immunotherapy within One YearDocumented Rationale to Support LongTerm Aeroallergen ImmunotherapyBeyond Five Years, as IndicatedAchievement of Projected Effective Doseof Standardized Allergens for PatientTreated With Allergen Immunotherapy forat Least One YearAssessment of Asthma Symptoms Prior toAdministration of AllergenImmunotherapy Injection(s)Documentation of the Consent Process forSubcutaneous Allergen Immunotherapy inthe Medical RecordAsthma Assessment and ClassificationLung Function/Spirometry EvaluationPatient Self-Management and Action PlanAsthma Control: Minimal ImportantDifference ImprovementPenicillin Allergy: Appropriate Removal orConfirmationPQRS Reporting: Auto-generatedreport on up to 31 quality measures,including asthma, allergenimmunotherapy, & more for PQRS andVBM Other Quality ReportingPrograms Available: Reuse registrydata for MOC (according to boardspecific policies). Connect your EHR toachieve MU2Specialized Registry reporting. KeyFeatures and Benefits: Continuous performancefeedback reports Comparison to nationalbenchmarks (where available)and peer-to-peer comparison Performance gap analysis &patient outlier identification(where available) Links to targeted education,tools and resources forimprovement Improve population health andmanage quality measurescomponent of the VBM Performance aggregation atthe practice and organizationThe AAAAI non-PQRSlevel available.Measure Specificationsare located here:https://www.medconcer Cost: Annual Member Fee: 500 pert.com/content/medconc AAAAI member, 650 per nonert/AAAAIQIR/member.Page 2 of 61
Reporting OptionsParticipatedSupportedQualified Clinical DataContact as a QCDR in Individual EP and/orRegistry NameInformation Previous PY GPRO Group PracticeEHR IncentiveProgramSupported iPublic ReportingLocation iiPQRS Measures Supported(Individual Measures iii, Measures Group Only Measures iv,Electronic Clinical Quality Measures [eCQMs] v)NQS Domain 2 Community/Population Health: 110, 111, 128,134, 226, 239, 240, 310, 317, 372Non-PQRS Measures SupportedNon-PQRS MeasuresInformationPatient data will be periodicallyextracted from EHR systems and usedto compute clinical quality measures.Quality measures and peercomparisons can be viewed and usedin improving clinical practice and forMOC activities.NQS Domain 3 Effective Clinical Care: 001 , 002, 005, 007, 008,112, 113, 117, 119, 163, 204, 236 , 241, 281, 309, 311, 316, 366,369, 371, 373NQS Domain 4 Efficiency and Cost Reduction: 065, 066, 312ABFM PRIMEVersion1.21648McGrathianaParkway,Suite 550,Lexington, m.org/primeregistry/NoNQS Domain 5 Patient Safety: 023, 130, 238, 318, 380Individual EPs, GPROGroup PracticeYesPhysicianCompareeCQM's: 001, CMS122v4, 002, CMS163v4, 005, CMS135v4, 007,CMS145v4, 008, CMS144v4, 065, CMS154v4, 066, CMS146v4, 110,CMS147v5, 111, CMS127v4, 112, CMS125v4, 113, CMS130v4, 117,CMS131v4, 119, CMS134v4, 128, CMS69v4, 130, CMS68v5, 134,CMS2v5, 163, CMS123v4, 204, CMS164v4, 226, CMS138v4, 236,CMS165v4, 238, CMS156v4, 239, CMS155v4, 240, CMS117v4, 241,CMS182v5, 281, CMS149v4, 309, CMS124v4, 310, CMS153v4, 311,CMS126v4, 312, CMS166v5, 316, CMS61v5, 316, CMS64v5, 317,CMS22v4, 318, CMS139v4, 366, CMS136v5, 369, CMS158v4, 371,CMS160v4, 372, CMS82v3, 373, CMS65v5, 380, CMS179v4None06/10/2016Services Offered & CostServices: PQRS Reporting Clinical Measure Dashboardincluding peer comparisons Reporting for MOC purposes. EHR Incentive Program/MU2,including Objective 10N/ACost: Free to participants of the ABFMPrime RegistryPage 3 of 61
Reporting OptionsParticipatedSupportedQualified Clinical DataContact as a QCDR in Individual EP and/orRegistry NameInformation Previous PY GPRO Group PracticeEHR IncentiveProgramSupported iPublic ReportingLocation iiPQRS Measures Supported(Individual Measures iii, Measures Group Only Measures iv,Electronic Clinical Quality Measures [eCQMs] v) NQS Domain 1 Communication and Care Coordination: 047, 131NQS Domain 2 Community/Population Health: 111, 128, 134,226, 317, 431P.O. Box 777Waddell, AZ85355NQS Domain 3 Effective Clinical Care: 408, 412, 414844-944-4224ABG Anesthesia DataSafety Group, LLCVersion1.2http://www.anesthesiabg.com/YesNQS Domain 5 Patient Safety: 130, 145, 238Individual EPs, GPROGroup PracticeNoPhysicianCompareNQS Domain 6 Person and Caregiver Centered Experience andOutcomes: 10906/10/2016 Non-PQRS Measures SupportedIntra-operative anesthesia safetyIntra-operative Cardiac Arrest RateIntra-operative Mortality RatePACU tracheal intubation RateComposite Procedural Safety for AllVascular Access ProceduresRate of Unplanned Use of Difficult AirwayEquipment and/or Failed AirwayImmediate Adult Post-Operative PainManagementUse of Checklist or Protocol for Transfer ofCare in Phase I recovery From AnesthesiaProvider to PACU or ICUOR FireDay of Surgery Case Cancellation RateAnaphylaxis During Anesthesia Care in theOperating RoomAnesthesia: Patient Experience SurveyMalignant HyperthermiaCorneal AbrasionDental InjuryPlanned use of difficult airway equipmentMedication errors during surgeryPre-operative Attestation ofdocumentation of current medications inthe medical recordUnplanned hospital admission post-op,including 23 hr. stayUnplanned transfer ASC to hospitalPre-operative OSA assessmentIntraoperative Airway FireIntraoperative patient fallTime out error- surgicalTime out error- regional blockMyocardial Ischemia requiringintervention during the operative periodDysrhythmia requiring intervention duringthe operative periodNon-PQRS MeasuresInformationServices Offered & CostThis is a longstanding, anesthesiafocused, quality improvementdatabase. The Data Warehouse andQCDR are managed by clinicians whounderstand the importance of patientsafety. The QCDR is designed tooptimize accurate data collection in amanner that is minimally intrusive towork flow.Services: Practical and relevant nonPQRS Measures list with alarge number to select from. Guidance for data collectionand submission Mobile device data collectiontool available (optional and atadditional cost) Easy data transfer via web siteusing excel spreadsheet Customized reportscontinuously available on linefor feedback Data submission to CMS afterapproval by userThe ABG Anesthesia Data Reporting available for EPs andGPRO practicesSafety Group non-PQRSMeasure Specifications Additional services and supportare located here:available on /04 Cost: Annual cost of 150 per provider/abg-qcdr-measuresper year with discounts available2016-new4.pdfthrough membership.Page 4 of 61
Reporting OptionsParticipatedSupportedQualified Clinical DataContact as a QCDR in Individual EP and/orRegistry NameInformation Previous PY GPRO Group PracticeEHR IncentiveProgramSupported iPublic ReportingLocation iiPQRS Measures Supported(Individual Measures iii, Measures Group Only Measures iv,Electronic Clinical Quality Measures [eCQMs] v)Non-PQRS Measures SupportedNQS Domain 1 Communication and Care Coordination: 019, 024,046, 047, 131, 137, 138, 141, 147, 155, 182, 185, 217, 218, 219,220, 221, 222, 223, 225, 243, 261, 265, 288, 293, 294, 320, 325,336, 350, 359, 362, 363, 364, 374, 391, 395, 396, 397, 411, 426,427NQS Domain 2 Community/Population Health: 110, 111, 128,134, 183, 226, 239, 240, 310, 317, 372, 378, 394, 402, 431NQS Domain 3 Effective Clinical Care: 001 , 002, 005, 006, 007,008, 009, 012, 014, 018, 032, 039, 041, 043, 044, 048, 051, 052,053, 054, 067, 068, 069, 070, 071, 072, 084, 085, 087, 091, 099,100, 104, 107, 108, 112, 113, 117, 118, 119, 121, 122 , 126, 127,140, 160, 163, 164, 165, 166, 167, 168, 176, 177, 178, 179, 180,187, 191, 195, 204, 205, 236 , 241, 249, 250, 251, 254, 255, 257,263, 264, 268, 270, 271, 274, 275, 276, 277, 278, 279, 280, 281,282, 283, 284, 287, 289, 290, 291, 292, 305, 309, 311, 316, 326,327, 328 , 329, 337, 338, 339, 343, 344, 345, 346, 356, 357, 365,366, 367, 368, 369, 370 , 371, 373, 379, 381, 384, 385, 387, 389,398, 399, 400, 401, 404 , 405, 406, 407, 408, 409, 412, 413 , 414,418, 420, 421, 423, 425, 428, 435, 436, 438NQS Domain 4 Efficiency and Cost Reduction: 065, 066, 093, 102,116, 146, 224, 312, 322, 323, 324, 331, 332, 333, 334, 340, 415,416, 419, 439NQS Domain 5 Patient Safety: 021, 022, 023, 076, 130, 145, 154,156, 181, 192, 238, 258, 259, 260, 262, 286, 318, 330, 335, 347,348, 351, 352, 353, 354, 355, 360, 361, 380, 382, 383 , 388, 392,393, 417, 422, 424, 429, 430, 432, 433, 434, 437NQS Domain 6 Person and Caregiver Centered Experience andOutcomes: 050, 109, 143, 144, 303, 304, 321, 342, 358, 375, 376,377, 386, 390, 403, 4101294 Route11, P. O. Box1014,Georges Mills,NH, 03751Academic Research for 888-783-5280Clinical Outcomes888-428-3413(ARCO) inhttp://www.rCollaboration witheportingmd.cReportingMD, Inc.omNoVersion1.2Individual EPs, GPROGroup PracticeYesPhysicianCompareeCQM's: 001, CMS122v4, 002, CMS163v4, 005, CMS135v4, 007,CMS145v4, 008, CMS144v4, 009, CMS128v4, 012, CMS143v4, 018,CMS167v4, 019, CMS142v4, 065, CMS154v4, 066, CMS146v4, 071,CMS140v4, 072, CMS141v5, 102, CMS129v5, 107, CMS161v4, 110,CMS147v5, 111, CMS127v4, 112, CMS125v4, 113, CMS130v4, 117,CMS131v4, 119, CMS134v4, 128, CMS69v4, 130, CMS68v5, 134,CMS2v5, 143, CMS157v4, 160, CMS52v4, 163, CMS123v4, 191,CMS133v4, 192, CMS132v4, 204, CMS164v4, 226, CMS138v4, 236,CMS165v4, 238, CMS156v4, 239, CMS155v4, 240, CMS117v4, 241,CMS182v5, 281, CMS149v4, 305, CMS137v4, 309, CMS124v4, 310,CMS153v4, 311, CMS126v4, 312, CMS166v5, 316, CMS61v5, 316,CMS64v5, 317, CMS22v4, 318, CMS139v4, 365, CMS148v4, 366,CMS136v5, 367, CMS169v4, 368, CMS62v4, 369, CMS158v4, 370,CMS159v4, 371, CMS160v4, 372, CMS82v3, 373, CMS65v5, 374,CMS50v4, 375, CMS66v4, 376, CMS56v4, 377, CMS90v4, 378,CMS75v4, 379, CMS74v5, 380, CMS179v4, 381, CMS77v4, 382,CMS177v406/10/2016 Neurology: Stroke/Transient IschemicAttack (TIA): STK-06: Discharged on StatinMedicationBehavioral Health: Screening, Neurology:Delirium: Persistent Indicators ofDementia without a Diagnosis—Short StayBehavioral Health, Neurology:Antipsychotic Use in Persons withDementiaMusculoskeletal: Median Time to PainManagement for Long Bone FractureMusculoskeletal, Musculoskeletal: LowBack Pain: MRI Lumbar Spine for Low BackPainMusculoskeletal: Improvement inAmbulation/locomotionEndocrine, Gastrointestinal (GI):Screening, Musculoskeletal: Osteoporosis:Laboratory Investigation for SecondaryCauses of FractureEndocrine, Musculoskeletal: Osteoporosis:Risk Assessment/Treatment After FractureMusculoskeletal: Gout: Serum UrateTargetTrauma- Risk Standardized Mortality Ratewithin 30 days following TraumaOperationNon-PQRS MeasuresInformationServices Offered & CostARCO is open to all ambulatory carepractices. Total OutcomesManagement (TOM) is a populationhealth and disease managementreporting solution for healthcareorganizations that need to manageMedical Intelligence (MI) and clinicalperformance. TOM is ideal for largepractices that want to manage patientoutcomes through our secure clientweb portal. TOM is ONC CertifiedHIT for Stage 2 Meaningful Use for all64 eCQM’s and facilitates singlesubmission for both PQRS, VBM, andMU. This solution provides the abilityto manage singular or multiple TINsfor GPRO or individual EPs from singleor disparate systems. In addition,track your VBM performance,optimize and manage patientoutcomes, and maximize VBM qualityscores. Interfaces available for allEHRs. Program navigation for PQRS,MU, and VBM is free for TOM users!Contact us for a demo and customizedpricing. Volume Discounts AvailableMedical Informatics Calculator (MIC):Our MIC product is a data entryapplication starting at 249/providerfor up to 9 individual measures or 1measure group. This tool is primarilydesigned for solo EPs or small grouppractices that can report on MeasuresGroups or Individual Measures.Services: Unlimited consultancy forVBM, MU, and PQRS Free Data Submission to CMS Chronic Care Management Meaningful Use Public HealthReporting Continuous Feedback andBenchmarkingThe Academic Research Risk Adjusted Data Rapid Implementation cyclefor Clinical Outcomes Measures Optimizationnon-PQRS MeasureEvaluationSpecifications are Patient Care Management.located here:http://reportingmd.com/programs/QCDR/Cost: Starting at 249/per providerPage 5 of 61
Reporting OptionsParticipatedSupportedQualified Clinical DataContact as a QCDR in Individual EP and/orRegistry NameInformation Previous PY GPRO Group PracticeEHR IncentiveProgramSupported iPublic ReportingLocation iiPQRS Measures Supported(Individual Measures iii, Measures Group Only Measures iv,Electronic Clinical Quality Measures [eCQMs] v) 201 ChicagoAvenue,Minneapolis,MN, 55415612-928-6081612-454-2744American Academy of http://www.aNeurologyan.comNoVersion1.2NQS Domain 1 Communication and Care Coordination: 047, 374Individual EPsYesPhysicianCompareNQS Domain 3 Effective Clinical Care: 268, 276, 280, 282, 290,292, 435 NQS Domain 4 Efficiency and Cost Reduction: 419 NQS Domain 5 Patient Safety: 130, 31806/10/2016Non-PQRS Measures SupportedDistal Symmetric Polyneuropathy:Prediabetes screeningDistal Symmetric Polyneuropathy:Screening for Unhealthy Alcohol UseEpilepsy: Seizure Frequency and SeizureInterventionEpilepsy: Screening for Psychiatric orBehavioral Health DisordersHeadache: Medication prescribed foracute migraine attackHeadache: Overuse of BarbiturateContaining Medications for PrimaryHeadache DisordersHeadache: Overuse of Opioid ContainingMedications for Primary HeadacheDisordersMultiple Sclerosis: Exercise andAppropriate Physical Activity Counselingfor Patients with MSNon-PQRS MeasuresInformationServices Offered & CostThe American Academy Axon Registry collects data on qualityof Neurology non-PQRS measures for neurologists andMeasure Specifications provides real-time feedback onare located -registryCost: None.Page 6 of 61
Reporting OptionsParticipatedSupportedQualified Clinical DataContact as a QCDR in Individual EP and/orRegistry NameInformation Previous PY GPRO Group PracticeEHR IncentiveProgramSupported iPublic ReportingLocation iiPQRS Measures Supported(Individual Measures iii, Measures Group Only Measures iv,Electronic Clinical Quality Measures [eCQMs] v) NQS Domain 1 Communication and Care Coordination: 019, 131, 137, 138, 141, 265, 397 NQS Domain 2 Community/Population Health: 110, 111, 226, 317, 402655 BeachStreet,San Francisco,CA, 94109415-561-8500American Academy of 415-561-8533Ophthalmology IRIS http://www.aRegistry (Intelligentao.org/irisResearch in Sight)registry/YesVersion1.2NQS Domain 3 Effective Clinical Care: 001, 012, 014, 117, 140,191, 236, 384, 385, 389 NQS Domain 4 Efficiency and Cost Reduction: 224 NQS Domain 5 Patient Safety: 130, 192, 238, 388Individual EPs, GPROGroup PracticeNoPhysicianCompareNQS Domain 6 Person and Caregiver Centered Experience andOutcomes: 303, 30406/10/2016 Non-PQRS Measures SupportedCorneal Graft Surgery - PostoperativeImprovement in Visual Acuity to 20/40 orgreaterGlaucoma - Intraocular Pressure (IOP)ReductionGlaucoma - Visual Field ProgressionGlaucoma - Intraocular PressureReduction Following LaserTrabeculoplastySurgery for Acquired Involutional Ptosis Patients with an Improvement of MarginalReflex DistanceAcquired Involutional Entropion Normalized Lid Position After SurgicalRepairAmblyopia - Interocular Visual AcuitySurgical Esotropia - PostoperativeAlignmentDiabetic Retinopathy - Documentation ofthe Presence or Absence of MacularEdema and the Level of Severity ofRetinopathyExudative Age-Related MacularDegeneration - Loss of Visual AcuityNonexudative Age-Related MacularDegeneration - Loss of Visual AcuityAge-Related Macular Degeneration Disease ProgressionDiabetic Macular Edema - Loss of VisualAcuityAcute Anterior Uveitis - Post-treatmentvisual acuityAcute Anterior Uveitis - Post-treatmentGrade 0 anterior chamber cellsChronic Anterior Uveitis - Post-treatmentvisual acuityChronic Anterior Uveitis - Post-treatmentGrade 0 anterior chamber cellsIdiopathic Intracranial Hypertension: Noworsening or improvement of meandeviationOcular Myasthenia Gravis: Improvementof ocular deviation or absence of diplopiaor functional improvementGiant Cell Arteritis: Absence of fellow eyeinvolvement after corticosteroidtreatmentNon-PQRS MeasuresInformationServices Offered & CostThe American Academy ofOphthalmology IRIS Registry utilizesa web-based reporting tool to allowparticipating members the ability tosubmit data to the Physician QualityReporting System (PQRS). The IRISRegistry offers reporting to bothThe American Academy individual eligible professionals andof Ophthalmology IRIS group practices.Registry non-PQRSMeasure Specifications Cost: Free to American Academy ofare located here:Ophthalmology members in goodhttp://www.aao.org/iris- standing practicing in the Unitedregistry/general-faqsStates.Page 7 of 61
Reporting OptionsParticipatedSupportedQualified Clinical DataContact as a QCDR in Individual EP and/orRegistry NameInformation Previous PY GPRO Group PracticeEHR IncentiveProgramSupported iPublic ReportingLocation iiPQRS Measures Supported(Individual Measures iii, Measures Group Only Measures iv,Electronic Clinical Quality Measures [eCQMs] v)Non-PQRS Measures SupportedNon-PQRS MeasuresInformationServices Offered & CostRegent empowers clinicians to createa cyclical quality improvement processthat involves transmitting patient datato the registry, receiving frequentbenchmarking reports, analyzingresults, identifying targetedinterventions, and enabling QI.Services: The cost to participate inRegent requires membership in AAOHNSF; a one-time application fee of 250 and yearly fees of 295 perparticipating physician. To encourageparticipation in Regent, the AAO-HNSFis waiving the one-time application feeand the first year’s participation feefor the initial 1,000 participants inRegent. NQS Domain 1 Communication and Care Coordination: 046, 047, 131, 155, 265NQS Domain 2 Community/Population Health: 110, 111, 128,226, 317, 4021650 DiagonalRoad,American Academy of Alexandria,Otolaryngology - Head VA, 22314and Neck Surgery703-535-3748Foundation Regenthttp://www.eRegistryntnet.orgNoVersion1.2NQS Domain 3 Effective Clinical Care: 053, 091, 276, 277, 278,279, 398Individual EPs, GPROGroup PracticeNoPhysicianCompare NQS Domain 4 Efficiency and Cost Reduction: 065, 066, 093, 331, 332, 333, 334 NQS Domain 5 Patient Safety: 021, 022, 023, 130, 15406/10/2016The core products and services ofRegent are monthly and quarterlyOtitis Media with Effusion: Diagnosticperformance measure adherenceEvaluation - Assessment of Tympanicreports for groups, practices, andMembrane Mobilityindividual providers. These regularOtitis Media with Effusion: Resolution ofperformance reports provide measureOtitis Media with Effusion in Childrencalculation at both the practiceOtitis Media with Effusion: Resolution oflocation and individual clinicianOtitis Media with Effusion in AdultsThe American Academy provider level and include nationalTonsillectomy: Primary Post-Tonsillectomy of Otolaryngology - Head averages for benchmarking. ThisHemorrhage in Childrenand Neck Surgeryensures that the quality care for eachTonsillectomy: Primary Post-Tonsillectomy Foundation Regentindividual provider is adequatelyHemorrhage in AdultsRegistry non-PQRSbenchmarked against other providersTonsillectomy: Secondary PostMeasure Specifications and against performance rates atTonsillectomy Hemorrhage in Childrenare located here:multiple levels of aggregation. RegentTonsillectomy: Secondary Posthttp://www.entnet.org/c will report AAO-HNSF and PQRSTonsillectomy Hemorrhage in Adultsontent/otoregistrymeasures to CMS.Page 8 of 61
Reporting OptionsParticipatedSupportedQualified Clinical DataContact as a QCDR in Individual EP and/orRegistry NameInformation Previous PY GPRO Group PracticeEHR IncentiveProgramSupported iPublic ReportingLocation iiPQRS Measures Supported(Individual Measures iii, Measures Group Only Measures iv,Electronic Clinical Quality Measures [eCQMs] v) 2400 N St NWWashington,DC, 20037800-257-4737American College of 202-375-7000Cardiology Foundation http://www.a- CathPCI Registrycc.org/YesVersion1.2 Individual EPsNoAmerican Collegeof CardiologyFoundationCathPCI RegistryPublic Reporting None 06/10/2016Non-PQRS Measures SupportedStroke intra or post PCI procedure inpatients without CABG or other majorsurgeries during admissionNew requirement for dialysis post PCI inpatients without CABG or other majorsurgeries during admissionVascular access site injury requiringtreatment or major bleeding post PCI inpatients without CABG or other majorsurgeries during admissionCardiac tamponade post PCI in patientswithout CABG or other major surgeryduring admissionSTEMI patients receiving immediate PCIwithin 90 minutesACE-I or ARB prescribed at discharge forpatients with an ejection fraction 40%who had a PCI during the episode of careBeta-blockers prescribed at discharge forAMI patients who had a PCI duringadmissionPercutaneous Coronary Intervention (PCI):Post-procedural Optimal Medical TherapyPCI procedures that were inappropriatefor patients with Acute CoronarySyndrome (ACS)Median length of stay post PCI procedurefor patients with STEMI and without CABGor without other major surgery duringadmissionMedian length of stay post PCI procedurefor patients with a PCI Indication that isSTEMI and without CABG or without othermajor surgery during admissionStress testing with Spect MPI performedand the results were available in themedical recordCardiac Rehabilitation Patient ReferralFrom an Inpatient SettingContrast dose monitored and recordedduring the procedureNon-PQRS MeasuresInformationServices Offered & CostThe CathPCI Registry collectselectronic data capture and serves tofoster quality improvement. Weintend to submit data for the 2016reporting period starting 1/1/16 to9/20/16 for those seeking to leveragethe registry for PQRS submission.Services: The ACCF’s NationalCardiovascular Data Registry (NCDR)provides evidence based solutions forcardiologists and other medicalprofessionals committed to excellencein cardiovascular care. NCDR hospitalparticipants receive confidentialbenchmark reports that include accessto measure macro specifications andmicro specifications, the eligiblepatient population, exclusions, andmodel variables (when applicable). Inaddition to hospital sites, NCDRAnalytic and Reporting ServicesThe American College of provides consenting hospitals’Cardiology Foundation - aggregated data reports to interestedCathPCI Registry nonfederal and state regulatory agencies,PQRS Measuremulti-system provider groups, thirdSpecifications areparty payers, and other organizationslocated here:that have an identified qualityhttp://cvquality.acc.org/ improvement initiative that supportsNCDR-Home/AboutNCDR-participating facilities.NCDR/Benefits-ofParticipating.aspxCost: 500 per physician per year.Page 9 of 61
Reporting OptionsParticipatedSupportedQualified Clinical DataContact as a QCDR in Individual EP and/orRegistry NameInformation Previous PY GPRO Group PracticeEHR IncentiveProgramSupported iPublic ReportingLocation iiPQRS Measures Supported(Individual Measures iii, Measures Group Only Measures iv,Electronic Clinical Quality Measures [eCQMs] v)Non-PQRS Measures SupportedNon-PQRS MeasuresInformationServices Offered & CostThe PINNACLE Registry, part of theNational Cardiology Data Registry(NCDR) is the largest ambulatoryregistry of its kind with over 26 millionpatient encounters from 6.3 millionunique patients.The Diabetes Collaborative Registry,also part of NCDR, is the first global,cross-specialty clinical registrydesigned to track and improve thequality of diabetes andcardiometabolic care across theprimary care and specialty carecontinuum. An interdisciplinary effortin partnership with the AmericanDiabetes Association, the AmericanCollege of Physicians, the AmericanAssociation of Clinical Endocrinologistsand the Joslin Diabetes Center.2400 N StreetNW,American College of Washington,Cardiology Foundation DC, 20037(ACCF)-PINNACLE202-375-6595Registry and Diabetes http://cvqualiCollaborative Registry ty.acc.org/YesVersion1.2Individual EPs, GPROGroup PracticeNoThe AmericanCollege ofCardiologyFoundation(ACCF)-PINNACLE NQS Domain 1 Communication and Care Coordination: 047Registry andDiabetesNQS Domain 2 Community/Population Health: 226CollaborativeRegistry Public NQS Domain 3 Effective Clinical Care: 001 , 005, 006, 008, 118,Reporting119, 163, 32606/10/2016 Hypertension: Blood Pressure ControlCAD: Blood Pressure ControlCAD: Beta-blocker Therapy: Prior MI orLVSDCAD: Cardiac Rehabilitation PatientReferral from an Outpatient SettingHF: Patient Self Care EducationAFIB: CHA2DS2–VASc Score Risk ScoreDocumentedThe American College ofCardiology Foundation(ACCF)-PINNACLERegistry and DiabetesCollaborative Registrynon-PQRS MeasureSpecifications arelocated here:http://cvquality.acc.org/PQRSServices: Participants receive accessto our physician dashboard whichincludes performance results to helpvalidate the quality care provided andpinpoint opportunities forimprovement. We also offer seamlessparticipation in PQRS Reporting andoffer submission.Cost: No CostPage 10 of 61
Reporting OptionsParticipatedSupportedQualified Clinical DataContact as a QCDR in Individual EP and/orRegistry NameInformation Previous PY GPRO Group PracticeEHR IncentiveProgramSupported iPublic ReportingLocation iiPQRS Measures Supported(Individual Measures iii, Measures Group Only Measures iv,Electronic Clinical Quality Measures [eCQMs] v) Contact Us:cedr@acep.orgAmerican College ofEmergency Physicians(ACEP) ClinicalEmergency
Version1.2 06/10/2016 Page 1 of 61. 2016 Physician Quality Reporting System Qualified Clinical Data Registries . CMS is pleased to announce the Qualified Clinical Data Registries (QCDRs) that will be able to report quality measure data to CMS, on behalf of eligible professionals (EPs) for the 2016 Physician Quality
